Journal of the Korean Academy of Pediatric Dentistry 2009;36(4):568-574.
Published online November 30, 2009.
LINGUAL FRENECTOMY UNDER ORAL SEDATION
강릉.원주대학교 치과대학 소아치과학교실 
경구 진정요법하에 시행한 설소대 절제술
장용걸, 박호원, 이주현, 서현우
강릉.원주대학교 치과대학 소아치과학교실
Correspondence:  , 
Received: 13 May 2009   • Accepted: 7 September 2009
Abstract
Tongue-tie is a congenital anomaly characterized by an abnormally short lingual frenum, which may restrict tongue tip mobility, In the neonate and infant, tongue-tie was said to cause difficult breast-feeding, In the older infant, toddler and young child, poor speech has been frequently listed because movement of tongue tip is limit ed. Also as a abnormal tongue position, various orthodontic problems, later mechanical and social manifestations could be developed. Treatment options such as observation, speech therapy, frenotomy and frenectomy have been suggested. The optimal timing for the surgery has not been determined, but early intervention may be appropriate for the children with significant tongue-tie who has the significant potential to speech difficulties and later social and mechanical problems. Sedation is an effective method for incapable of cooperative and the handicapped children, necessary to early intervention. We report three cases, using oral sedation for the frenectomy in young children with severe tongue-tie. After treatments, we could find out sufficient tongue movement and improved speech ability.
Key Words: Tongue-tie, Sedation, Lingual frenum; Frenectomy, Early intervention
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